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- Title
Are there long-term effects of extracorporeal shockwave lithotripsy in paediatric patients?
- Authors
El‐Nahas, Ahmed R.; Awad, Bassam A.; El‐Assmy, Ahmed M.; Abou El‐Ghar, Mohamed E.; Eraky, Ibrahim; El‐Kenawy, Mahmoud R.; Sheir, Khaled Z.
- Abstract
What's known on the subject? and What does the study add? Extracorporeal shockwave lithotripsy is effective for the treatment of paediatric renal stones with favourable short-term safety., Extracorporeal shockwave lithotripsy for treatment of paediatric renal stones is also safe for the kidney and the child on long-term follow-up., Objective To evaluate the long-term effects of extracoporeal shockwave lithotripsy ( SWL) for treatment of renal stones in paediatric patients., Patients and Methods A database of paediatric patients who underwent SWL monotherapy for treatment of renal stones from September 1990 through to January 2009 was compiled. This study included only patients with follow-up for more than 2 years. The long-term effects of SWL were evaluated at the last follow-up with measurement of patients' arterial blood pressure, estimation of random blood sugar and urine analysis. The results of diastolic blood pressure were plotted against a standardized age reference curve. The treated kidney was examined by ultrasonography for measurement of renal length and detection of stones. The measured renal lengths were plotted against age-calculated normal renal lengths in healthy individuals., Results The study included 70 patients (44 boys (63%) and 26 girls) with mean age at the time of SWL 6.5 ± 3.6 years (range 1-14). The mean follow-up period was 5.2 ± 3.6 years (range 2.1-17.5). The mean age at last follow-up was 11.7 ± 5.3 years (range 4.4-27.5). No patients developed hypertension or diabetes. Only one treated kidney was smaller than one standard deviation of the calculated length. The cause of this was obstruction by a stone in the pelvic ureter 3 years after SWL., Conclusion The long-term follow-up after SWL for treatment of renal stones in paediatric patients showed no effect on renal growth and no development of hypertension or diabetes.
- Subjects
EXTRACORPOREAL shock wave lithotripsy; TREATMENT effectiveness; HEALTH outcome assessment; TREATMENT of calculi; PEDIATRIC urology; DIAGNOSTIC ultrasonic imaging
- Publication
BJU International, 2013, Vol 111, Issue 4, p666
- ISSN
1464-4096
- Publication type
Article
- DOI
10.1111/j.1464-410X.2012.11420.x